|
Post by akemp3000 on Feb 15, 2018 16:10:18 GMT -5
I would say you are correct but I find it interesting that "Mr. Metformin" has jumped ship and is ready to dump metformin. I heard him say it last year but WOW! I say good for him but it starts with do no harm and the GLP-1s have some real scary side effects. Now, if its really DeFronzo wanting to dump metformin that opens the door wide open to Kendall and his afrezza. Head to head afrezza is safer and will provide better results. Mike's post earlier today shared that someone was reporting 275,000 ER visits annually for hypos at a cost of $17k each. People are starting to wake up to the fact that current diabetes medical standards and protocols as well as insurance requirements are antiquated and aren't working. The paradigm shift seems to be gaining steam.
|
|
|
Post by dreamboatcruise on Feb 15, 2018 16:25:48 GMT -5
I would say you are correct but I find it interesting that "Mr. Metformin" has jumped ship and is ready to dump metformin. I heard him say it last year but WOW! I say good for him but it starts with do no harm and the GLP-1s have some real scary side effects. Now, if its really DeFronzo wanting to dump metformin that opens the door wide open to Kendall and his afrezza. Head to head afrezza is safer and will provide better results. Mike's post earlier today shared that someone was reporting 275,000 ER visits annually for hypos at a cost of $17k each. People are starting to wake up to the fact that current diabetes medical standards and protocols as well as insurance requirements are antiquated and aren't working. The paradigm shift seems to be gaining steam.So far the steam is limited to talk... no real change. As Mike pointed out in that post, insurers aren't even tracking these complications (or claim they don't). We could wish that they are simply unaware and thus merely need education. I think that highly unlikely. I'd assume that whatever it is they are currently doing, or not doing, is a well calculated strategy in their best financial interests. It is going to take a lot of shouting from patients and advocacy groups to force the change you are hoping for.
|
|
|
Post by peppy on Feb 15, 2018 19:04:54 GMT -5
Mike's post earlier today shared that someone was reporting 275,000 ER visits annually for hypos at a cost of $17k each. People are starting to wake up to the fact that current diabetes medical standards and protocols as well as insurance requirements are antiquated and aren't working. The paradigm shift seems to be gaining steam.So far the steam is limited to talk... no real change. As Mike pointed out in that post, insurers aren't even tracking these complications (or claim they don't). We could wish that they are simply unaware and thus merely need education. I think that highly unlikely. I'd assume that whatever it is they are currently doing, or not doing, is a well calculated strategy in their best financial interests.It is going to take a lot of shouting from patients and advocacy groups to force the change you are hoping for. And yet, when I watch insurance commercials, it is all about how much they care. "Stay with me Mr. Parker" Health Insurance Slogans Your health, your choice A better decision Your health, Our promise For better health A healthier you, a healthier community Better health, better life Your bridge to premier healthcare Values that bind Your health, your wealth! Take a positive step All your protection under one roof Your link to good health We cushion you for life sloganshub.org/health-insurance-slogans/We lie like a rug. We want your money for our coffers. "Stay with me Mr. Parker."
|
|
|
Post by mnkdfann on Feb 15, 2018 20:35:19 GMT -5
I would say you are correct but I find it interesting that "Mr. Metformin" has jumped ship and is ready to dump metformin. I heard him say it last year but WOW! I say good for him but it starts with do no harm and the GLP-1s have some real scary side effects. Now, if its really DeFronzo wanting to dump metformin that opens the door wide open to Kendall and his afrezza. Head to head afrezza is safer and will provide better results. Mike's post earlier today shared that someone was reporting 275,000 ER visits annually for hypos at a cost of $17k each. People are starting to wake up to the fact that current diabetes medical standards and protocols as well as insurance requirements are antiquated and aren't working. The paradigm shift seems to be gaining steam. The slide Mike retweeted said there were 245,000 emergency visits for hypoglycemia in the US in 2014, then later it talks about how each INPATIENT ADMISSION costs about $17K. But an emergency visit is not the same thing as an inpatient admission. E.g., see how Medicare defines the terms: www.medicare.gov/what-medicare-covers/part-a/inpatient-or-outpatient.html I don't know who created the slide, but if you read the slide and not just the headline you'll see that it talks about several different things. I think the headline may be conflating / confusing several different points.
|
|
|
ADA
Feb 16, 2018 12:58:03 GMT -5
Post by agedhippie on Feb 16, 2018 12:58:03 GMT -5
Mike's post earlier today shared that someone was reporting 275,000 ER visits annually for hypos at a cost of $17k each. People are starting to wake up to the fact that current diabetes medical standards and protocols as well as insurance requirements are antiquated and aren't working. The paradigm shift seems to be gaining steam. The slide Mike retweeted said there were 245,000 emergency visits for hypoglycemia in the US in 2014, then later it talks about how each INPATIENT ADMISSION costs about $17K. But an emergency visit is not the same thing as an inpatient admission. E.g., see how Medicare defines the terms: www.medicare.gov/what-medicare-covers/part-a/inpatient-or-outpatient.html I don't know who created the slide, but if you read the slide and not just the headline you'll see that it talks about several different things. I think the headline may be conflating / confusing several different points. It may be children get admitted, but adults usually just get given a glucagon shot and left to get over the side effects of the shot. EMTs carry glucagon shots, but they will always take you to ER after they have administered the shot as well if you let them. A lot of Type 1s carry glucagon pens, but that relies on someone knowing how to use it ( How to Use Glucagon). I want the nasal glucagon. This is a longwinded way of saying you are unlikely to get admitted. Hypoglycemia is fast and easy, if somewhat unpleasant, to fix.
|
|
|
ADA
Feb 16, 2018 13:02:22 GMT -5
Post by peppy on Feb 16, 2018 13:02:22 GMT -5
The slide Mike retweeted said there were 245,000 emergency visits for hypoglycemia in the US in 2014, then later it talks about how each INPATIENT ADMISSION costs about $17K. But an emergency visit is not the same thing as an inpatient admission. E.g., see how Medicare defines the terms: www.medicare.gov/what-medicare-covers/part-a/inpatient-or-outpatient.html I don't know who created the slide, but if you read the slide and not just the headline you'll see that it talks about several different things. I think the headline may be conflating / confusing several different points. It may be children get admitted, but adults usually just get given a glucagon shot and left to get over the side effects of the shot. EMTs carry glucagon shots, but they will always take you to ER after they have administered the shot as well if you let them. A lot of Type 1s carry glucagon pens, but that relies on someone knowing how to use it ( How to Use Glucagon). I want the nasal glucagon. This is a longwinded way of saying you are unlikely to get admitted. Hypoglycemia is fast and easy, if somewhat unpleasant, to fix. aged, how many times have you needed to take glucagon? Pharmacodynamics In a study of 25 volunteers, a subcutaneous dose of 1 mg glucagon resulted in a mean peak glucose concentration of 136 mg/dL 30 minutes after injection (see Figure 1B). Similarly, following intramuscular injection, the mean peak glucose level was 138 mg/dL, which occurred at 26 minutes after injection. No difference in maximum blood glucose concentration between animal-sourced and rDNA glucagon was observed after subcutaneous and intramuscular injection. pi.lilly.com/us/rglucagon-pi.pdfI had to look because the link you posted did not mention route.
|
|
|
Post by agedhippie on Feb 16, 2018 13:18:20 GMT -5
It may be children get admitted, but adults usually just get given a glucagon shot and left to get over the side effects of the shot. EMTs carry glucagon shots, but they will always take you to ER after they have administered the shot as well if you let them. A lot of Type 1s carry glucagon pens, but that relies on someone knowing how to use it ( How to Use Glucagon). I want the nasal glucagon. This is a longwinded way of saying you are unlikely to get admitted. Hypoglycemia is fast and easy, if somewhat unpleasant, to fix. aged, how many times have you needed to take glucagon? Once, a long time ago. For some reason my levels would not budge out of the 30s regardless of what I did so I panicked a bit and took a glucagon shot although I shouldn't have. It's a seriously unpleasant experience, but it worked and I was in the 400s in minutes! I have had to haggle with an EMT to stop him from sticking me with glucagon once as well.
|
|